PDF herunterladen
J Wrist Surg 2019; 08(03): 245-249
DOI: 10.1055/s-0038-1675562
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Bony Incarceration of the Extensor Pollicis Longus Tendon Mimicking Rupture

Janos Barrera
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, California
,
Jessica Ryu
2   Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, California
,
Jeffrey Yao
2   Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, California
› Institutsangaben
Weitere Informationen

Publikationsverlauf

09. Mai 2018

24. September 2018

Publikationsdatum:
05. November 2018 (online)

    Lizenzen und Reprints

Abstract

Background Distal radius fractures are a relatively common injury, and rupture of the extensor pollicis longus (EPL) has been known to occur in a small number of nondisplaced distal radius fractures. In contrast, bony incarceration of the EPL tendon is an exceedingly rare occurrence and warrants special attention.

Case Description Here we present a case of bony incarceration of the EPL tendon following distal radius fracture that mimicked tendon rupture. Following EPL release, the patient had improved function and pain in the wrist.

Literature Review We identified three case reports of EPL tendon entrapment following distal radius fracture, and compared and contrasted the clinical features of tendon rupture versus bony entrapment.

Clinical Relevance Our results suggest that both the type of fracture (displaced vs. nondisplaced) and the chronicity of symptoms may provide important diagnostic clues for the hand surgeon managing distal radius fracture patients presenting with EPL dysfunction.

Keywords

distal radius fracture - tendon entrapment - tendon rupture - wrist fracture
 

  • References

  • 1 Nellans KW, Kowalski E, Chung KC. The epidemiology of distal radius fractures. Hand Clin 2012; 28 (02) 113-125
    CrossrefPubMedGoogle Scholar
  • 2 Roth KM, Blazar PE, Earp BE, Han R, Leung A. Incidence of extensor pollicis longus tendon rupture after nondisplaced distal radius fractures. J Hand Surg Am 2012; 37 (05) 942-947
    CrossrefPubMedGoogle Scholar
  • 3 Murakami Y, Todani K. Traumatic entrapment of the extensor pollicis longus tendon in Smith's fracture of the radius-case report. J Hand Surg Am 1981; 6 (03) 238-240
    CrossrefPubMedGoogle Scholar
  • 4 Kumar A, Kelly CP. Extensor pollicis longus entrapment after Smith's fracture. Injury 2003; 34 (01) 75-78
    CrossrefPubMedGoogle Scholar
  • 5 Cavanilles Walker JM, Masferrer Pino A, Alberti Fito G. Entrapment of the extensor pollicis longus tendon after a radial fracture in a child. J Hand Surg Eur Vol 2012; 37 (02) 182-183
    CrossrefPubMedGoogle Scholar
  • 6 Engkvist O, Lundborg G. Rupture of the extensor pollicis longus tendon after fracture of the lower end of the radius--a clinical and microangiographic study. Hand 1979; 11 (01) 76-86
    PubMedGoogle Scholar
  • 7 Hirasawa Y, Katsumi Y, Akiyoshi T, Tamai K, Tokioka T. Clinical and microangiographic studies on rupture of the E.P.L. tendon after distal radial fractures. J Hand Surg [Br] 1990; 15 (01) 51-57
    CrossrefPubMedGoogle Scholar
  • 8 Skoff HD. Postfracture extensor pollicis longus tenosynovitis and tendon rupture: a scientific study and personal series. Am J Orthop 2003; 32 (05) 245-247
    PubMedGoogle Scholar
  • 9 Helal B, Chen SC, Iwegbu G. Rupture of the extensor pollicis longus tendon in undisplaced Colles' type of fracture. Hand 1982; 14 (01) 41-47
    PubMedGoogle Scholar